Concussion Management – Guidance & Procedure

It is a requirement that all players who suffer a concussion seek the highest level of medical care reasonably available to ensure concussion is managed appropriately.

Education & Training

Rugby Australia Concussion Guidance

Rugby Australia Concussion Overview

Rugby Australia Concussion Management Procedure

Rugby Australia Concussion Management procedure (table)

Rugby Australia Concussion Management Medical Doctor Information

Sports Concussion Assessment Tool (SCAT5 & Child SCAT5)

CONCUSSION MANAGEMENT

The management of concussion involves the following 8 steps; each step must be followed and completed before moving to the next step. These can be thought of as two stages. 

Concussion Management flow chart 

NOTE: It is advisable when making an appointment to see a medical doctor to note the following;

  • An assessment can take 30 minutes, so a long appointment should be requested at the time the appointment is booked
  • Take a copy of the doctor concussion management information with you to the doctor
  • Take a copy of the Referral and Return Form (section 1 completed)
  • Take a copy of the SCAT5 to the doctor if done elsewhere

STAGE 1 - ON THE DAY OF THE INJURY

Recognise

Remove

Record

Refer

IF A PLAYER HAS SIGNS OR SYMPTOMS OF A POTENTIAL HEAD INJURY OR CONCUSSION…..

NO PERSON (E.G. PHYSIO, COACH, TRAINER, OR DOCTOR) CAN OVER-RIDE THE REQUIREMENT OF A PLAYER TO REMAIN OFF THE FIELD.

Rugby Australia Head Injury Fact Sheet

Rugby Australia Referral & Return Form

Concussion Recognition Tool (CRT5)

STAGE 2 – ON THE DAYS FOLLOWING THE INJURY

Rest

Recover

Record

Return

FOR ANY PLAYER IS DIAGNOSED AS HAVING CONCUSSION……

THE STEPWISE GRADUATED RETURN TO PLAY (GRTP) PROCESS MUST BE FOLLOWED. THE REFERAL & RETURN FORM MUST BE COMPLETED

IF NOT…..

THE PLAYER BEING EXCLUDED INDEFINITELY FROM FULL CONTACT TRAINING AND MATCH PLAY.

COLLECTIVE RESPONSIBILITIES

At all times, players, parents, team officials, match officials and medical staff need to act in the best interest of player safety and welfare by;

  1. taking responsibility for the recognition, removal and referral of players to a medical doctor
  2. ensuring concussion is appropriately managed as per Rugby Australia’s Concussion Procedure.

Rugby Australia Concussion Management checklist - Player

Rugby Australia Concussion Management checklist – Club/Team Manager

Rugby Australia Concussion Management checklist – Competition Manager

Blue Card

Following very successful trials in 2017, the Rugby Australia’s National Safety Committee has approved the recommendation for mandatory use of Blue Cards in all club, school and domestic representative rugby beginning in matches from 1st March 2018.

In matches of U13 and older, when a player leaves the field due to signs and symptoms of concussion or suspected concussion, the referee will show the player a Blue Card. This card is a visual cue for team support staff, it must be recorded by team officials, and triggers an off-field medical process to begin.

This off-field process (which applies to all rugby, not just U13s and older) is detailed in Rugby Australia’s Concussion Procedure 2018.

Rugby Australia has included the following Law change ‘a tactically replaced player may return to play to replace a player who has been shown a Blue Card.’

Complex Cases

Complex Concussion scenarios require a more stringent process.

Case Review

Concussion case review is possible in certain circumstances.

References